Earnings summaries and quarterly performance for Cigna.
Executive leadership at Cigna.
David Cordani
Chief Executive Officer
Brian Evanko
Executive Vice President, Chief Financial Officer, and President and Chief Executive Officer, Cigna Healthcare
David Brailer
Executive Vice President and Chief Health Officer
Nicole Jones
Executive Vice President, Chief Administrative Officer, and General Counsel
Noelle Eder
Executive Vice President, Global Chief Information Officer
Board of directors at Cigna.
Donna Zarcone
Director
Elder Granger
Director
Eric Foss
Director
Eric Wiseman
Lead Independent Director
George Kurian
Director
Kathleen Mazzarella
Director
Kimberly Ross
Director
Mark McClellan
Director
Michael Hennigan
Director
Neesha Hathi
Director
Philip Ozuah
Director
Research analysts who have asked questions during Cigna earnings calls.
Andrew Mok
Barclays
5 questions for CI
Erin Wright
Morgan Stanley
5 questions for CI
Justin Lake
Wolfe Research, LLC
5 questions for CI
Lisa Gill
JPMorgan Chase & Co.
5 questions for CI
Charles Rhyee
TD Cowen
4 questions for CI
Joshua Raskin
Nephron Research
4 questions for CI
Albert Rice
UBS
3 questions for CI
George Hill
Deutsche Bank
3 questions for CI
Scott Fidel
Stephens Inc.
3 questions for CI
Adam Ron
Bank of America Corporation
2 questions for CI
Ann Hynes
Mizuho Financial Group
2 questions for CI
Jason Cassorla
Guggenheim Partners
2 questions for CI
Kevin Fischbeck
Bank of America
2 questions for CI
A.J. Rice
UBS Group AG
1 question for CI
Andrew Rice
UBS
1 question for CI
Benjamin Hendrix
RBC Capital Markets
1 question for CI
Lance Wilkes
Sanford C. Bernstein & Co., LLC
1 question for CI
Michael Hop
Baird
1 question for CI
Ryan Langston
TD Cowen
1 question for CI
Sarah James
Cantor Fitzgerald
1 question for CI
Stephen Baxter
Wells Fargo & Company
1 question for CI
Recent press releases and 8-K filings for CI.
- Cigna, alongside Aetna, UnitedHealthcare, and Humana, now covers AI-based coronary plaque analysis under the new Category I CPT code 75577, effective January 1, 2026.
- This coverage extends access to tens of millions of commercially insured patients for AI-enabled quantitative plaque assessment.
- The permanent CPT code 75577 enables nationally valued reimbursement for AI‐driven quantification and characterization of coronary atherosclerotic plaque from CCTA in outpatient and imaging settings.
- In December 2025, the AMA/ACC issued guidance recommending quantitative coronary plaque analysis to enhance risk assessment and guide preventive therapy in patients with visual plaque evidence on CTA.
- AM Best affirmed the Financial Strength Rating of A+ (Superior) and Long-Term Issuer Credit Rating of aa- (Superior) for HCSC Group, and A (Excellent) and a (Excellent) for HCSC Medicare & Supplemental Group, all with a stable outlook.
- Ratings reflect HCSC Group’s strongest balance sheet, adequate operating performance amid 2025 challenges, and strong risk-adjusted capitalization (BCAR), supported by robust liquidity and a $1.25 billion revolving credit facility plus over $2.0 billion FHLB borrowing capacity.
- HCSC’s statutory financial leverage rose to just under 20% after new debt issuances in 2024 and 2025 but remains within acceptable ranges; invested assets are predominantly investment grade fixed income securities.
- The Q1 2025 acquisition of Cigna’s Medicare and CareAllies businesses expanded geographic diversification, membership, and revenue growth with a limited impact on balance sheet strength.
- HCSC Medicare & Supplemental Group maintains a very strong balance sheet, modest underwriting leverage of 3.6x, and projects BCAR at the strongest level at year-end 2025, supported by parent capital commitments and integrated ERM.
- Reaffirmed full-year EPS guidance of at least $29.60, underscoring strong operational execution amid market challenges
- Launched a transformative rebate-free PBM model delivering upfront drug discounts, a flat administrative fee delinked from drug prices, and pharmacy reimbursements at acquisition cost plus dispense fee
- Rollout schedule set for fully insured Cigna Healthcare clients in 2027 and the broader Express Scripts book in 2028, with manufacturer recontracting ongoing
- Investing equally in 2026–2027 across technology, process/operations optimization, client and manufacturer recontracting, and data analytics to support the dual-track model; investment spend to dissipate in 2028
- Proactively extended contracts with Centene, Prime Therapeutics, and the DOD—totaling $90 billion in revenues—through the end of the decade to ensure volume stability
- Cigna posted $69.7 billion in revenues and $1.9 billion net income; adjusted EPS of $7.83, and reaffirmed 2025 guidance of at least $29.60 per share.
- Transitioning to a rebate-free pharmacy benefits model, aiming for 50% adoption by 2028.
- Completed strategic investment in Shields Health Solutions to bolster specialty services.
- Healthcare insurance revenue fell 18% due to the sale of Medicare Advantage plans; Evernorth segment revenue rose 15% year over year.
- Served 18.1 million members in Q3, with the Department of Defense as its largest PBM contract through 2029.
- The Cigna Group posted Q3 revenues of $69.7 billion and adjusted EPS of $7.83, and reaffirmed its full-year 2025 EPS outlook of at least $29.60.
- Evernorth delivered Q3 revenues of $60.4 billion and pre-tax adjusted earnings of $1.9 billion; within that, specialty and care services grew revenues 10% to $26.3 billion with earnings up 11% to $928 million, while pharmacy benefit services reported $34.1 billion in revenues and $1 billion in earnings, all in line with expectations.
- Cigna Healthcare generated Q3 revenues of $10.9 billion and pre-tax adjusted earnings of $1 billion; its medical care ratio was 84.8%, with higher risk-adjustment revenue offset by operating cost efficiencies.
- Looking to 2026, the company expects EPS growth, with Cigna Healthcare and specialty/care services growing at the high end of their long-term targets, while pharmacy benefit services operating income will decline due to strategic client renewals and investments in a new model.
- Cigna is rolling out a rebate-free, delinked fee-based pharmacy benefits model, to be adopted 100% for fully insured lives in 2027, broadly offered in January 2028, and transitioning ≥50% of its book by end-2028, backed by investments in recontracting, technology, and analytics.
- The Cigna Group posted Q3 revenue of $69.7 billion and adjusted EPS of $7.83, reaffirming its full-year 2025 adjusted EPS outlook of at least $29.60.
- Evernorth delivered $60.4 billion in revenues and $1.9 billion of pre-tax adjusted earnings, driven by 10% revenue growth in specialty and care services (to $26.3 billion) and stable pharmacy benefit services (revenues $34.1 billion, earnings $1.0 billion).
- Cigna Healthcare reported $10.9 billion in revenues and $1.0 billion of pre-tax adjusted earnings, with a medical care ratio of 84.8%, as higher individual exchange costs were offset by operating efficiencies.
- The company unveiled a rebate-free, delinked fee-based pharmacy benefits model—mandatory for fully insured lives in 2027 and covering 50% of its book by end-2028—expecting short-term margin pressure in pharmacy benefit services but EPS growth in 2026.
- Through Q3, operating cash flow was $3.4 billion and debt-to-capitalization stood at 44.9%, underpinning ongoing cash returns and strategic investments.
- Total revenues rose 10% year-over-year to $69.7 billion in Q3 2025.
- Shareholders’ net income was $1.9 billion, or $6.98 per share, up from $0.7 billion, or $2.63 per share in Q3 2024.
- Adjusted income from operations amounted to $2.1 billion, or $7.83 per share in Q3 2025, broadly in line with prior year.
- The company reaffirmed its 2025 adjusted EPS outlook of at least $29.60 per share.
- Cigna Group’s total revenues for Q3 2025 rose 10% year-over-year to $69.7 billion.
- Shareholders’ net income was $1.9 billion, or $6.98 per share; adjusted income from operations was $2.1 billion, or $7.83 per share.
- The company reaffirms its full-year 2025 outlook for consolidated adjusted income from operations of at least $29.60 per share.
- Launched a new rebate-free pharmacy benefit model to lower costs, improve transparency, and support local pharmacies.
- The new Evernorth model eliminates post-purchase rebates, offering upfront discounts negotiated with drug manufacturers at the point of sale to improve pricing transparency.
- It is expected to reduce average monthly prescription costs by about 30% for consumers, especially those with high-deductible health plans.
- Cigna Healthcare plans to adopt the model for fully insured members in 2027, with full implementation across all Evernorth clients by 2028.
- Starting in 2026, a new reimbursement structure will compensate community pharmacies based on medication costs plus dispensing fees and payments for clinical services.
- The model features technology that automatically compares pricing options at the pharmacy counter to ensure consumers pay the lowest available price.
- Evernorth, Cigna’s health services arm, introduced a transparent, rebate-free pharmacy benefit model to lower out-of-pocket drug costs and simplify pricing for consumers and employers.
- The new model will cut brand-name prescription costs by an average of 30% for Americans, particularly those in high-deductible plans, by automatically selecting the lowest of negotiated, cash discount, direct-to-consumer or copay prices.
- Cigna Healthcare will adopt the rebate-free benefit for fully insured members in 2027, with general availability to all Evernorth pharmacy clients in 2028.
- A revamped pharmacy reimbursement framework, effective 2026, pays community pharmacies on a cost-plus dispensing-fee basis and offers additional fees for clinical services, aiming to support local providers and improve patient care.
Quarterly earnings call transcripts for Cigna.
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